Agape Counseling Service Inc in St Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Agape Counseling Service Inc - NPI 1003062936
Agape Counseling Service Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in St Louis, Missouri. Agape Counseling Service Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Agape Counseling Service Inc is 1003062936. The last update date is 2008-09-30.
Agape Counseling Service Inc's current location address is 1569 Quendo Avenue, St Louis, Missouri. You can contact this provider via phone number 3147277277 and fax number 3147271921. The mailing address for Agape Counseling Service Inc is 1569 Quendo Avenue, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agape Counseling Service Inc |
|---|---|
| Address | 1569 Quendo Avenue, St Louis, Missouri |
| Phone Number | 3147277277 |
| Fax Number | 3147271921 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cotton John Orenza |
| Credentials | LCSW |
| Telephone Number | 3145311600 |
NPI Number Detail
| NPI Number | 1003062936 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 1569 Quendo Avenue |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631301419 |
| Phone Number | 3147277277 |
| Fax Number | 3147271921 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 20001164578 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2000165478 | MO | LCSW MARRIAGE & FAMILY THERAPY | |
| 495945404 | MO | -- | |
| 856261409 | MO | -- | |
| 856261409 | MO | MEDICAID WAIVER | |
| CASAC 2513 | MO | ADDICTION DIAGNOSIS & TREARMEN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Agape Counseling Service Inc by the Centers for Medicare & Medicaid Services?
The Agape Counseling Service Inc has been issued the NPI (National Provider Identifier) 1003062936, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Agape Counseling Service Inc?
The Agape Counseling Service Inc is physically situated at 1569 Quendo Avenue, in the city of St Louis, state of MO, with the postal code 631301419.
What is Agape Counseling Service Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Agape Counseling Service Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did Agape Counseling Service Inc receive its 1003062936 assignment from the Centers for Medicare & Medicaid Services?
The Agape Counseling Service Inc was assigned its 1003062936 on 2008-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Agape Counseling Service Inc last refreshed?
The information related to the Agape Counseling Service Inc, including its address, specialty, and other relevant details, was last updated on 2008-09-30.
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